Individual
ELIZABETH KRATZ MONTGOMERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
3400 CALIFORNIA AVE SW, SEATTLE, WA 98116
(206) 320-3399
(206) 320-5506
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN00163398
WA
363L00000X
Nurse Practitioner
AP30007290
WA
363LF0000X
Family Nurse Practitioner
Primary
AP30007290
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1679684161
—
WA
05
—
9648148
—
WA
Enumeration date
08/31/2006
Last updated
11/11/2021
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